Jody Ardrey Aprn-CNP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JODY ARDREY APRN-CNP LLC

Practice address

807 N Monte Vista St
Ada, OK 74820-7711

Phone

(580) 279-6413

Fax

(580) 279-6723

NPI assigned

Apr 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jody Wayne Ardrey, APRN-CNP

Title

Nurse Practitioner

Phone

(580) 279-6413

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1174977763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207711",
            "telephone_number": "580-279-6413",
            "fax_number": "580-279-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207711",
            "telephone_number": "580-279-6413",
            "fax_number": "580-279-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY ARDREY APRN-CNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ARDREY",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "580-279-6413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracy Michele Jimenez, SLP-CCC
• Lisa John
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• Britt Johnson
• Byron Lee Johnson, PRSS
• Cynthia Diane Johnson, LICENSED MASSAGE TH

• Family Nurse Practitioner in Ada, OK
• Providers in Ada, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.